| NPI | 1144772732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-75401) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 17-27773) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2024-09-04 |