| NPI | 1538728084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-25-86387) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2026-01-07 |