| NPI | 1396234894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-49774) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 17-38260) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-06-02 |