| NPI | 1104448935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-24-71826) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-04-09 |