| NPI | 1104718295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 152.000850) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-23-65909) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |