| NPI | 1073037107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-22-60574) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-119647) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: IL 217000370) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-27 |