| NPI | 1164015590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-22-61991) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-21-154518) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-10-25 |