| NPI | 1427614130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-22-59897) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-63169) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-10-07 |