| NPI | 1205400587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-68498) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-20-145683) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-10-04 |