| NPI | 1548772288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-41175) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-03-06 |