| NPI | 1376059311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-42481) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0178300) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2020-06-19 |