| NPI | 1194204057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-43730) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-62680) |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2025-09-18 |