| NPI | 1336623511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-47053) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-46568) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-01-19 |