| NPI | 1275022329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-66047) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 17-38796) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-08-09 |