| NPI | 1104383207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-37189) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-19-38224) |
| 106S00000X Behavior Technician (Licence: IL RBT-18-60963) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-05-11 |