| NPI | 1255918637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-48826) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: IL BACB514668) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-04-16 |