| NPI | 1134786783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-37132) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-11-28 |