| NPI | 1366942153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-45886) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-49798) |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2021-01-04 |