| NPI | 1366927022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-53979) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-12-02 |