| NPI | 1124518246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-53007) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-46948) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-09-14 |