| NPI | 1134615958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-47006) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-59920) |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2021-01-18 |