| NPI | 1073017398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-43375) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-46043) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-05-05 |