| NPI | 1174199129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-72775) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152000474) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-05-01 |