| NPI | 1356744742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-41151) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0-14-5897) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2020-02-28 |