| NPI | 1235694233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-35734) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-68248) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2022-10-24 |