| NPI | 1225521602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-47227) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-47349) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-09-02 |