| NPI | 1205283439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-16-23375) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IL R200-0168-7970) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-11-13 |