| NPI | 1134611098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-46444) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-57432) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-05-16 |