| NPI | 1558928234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-64300) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: IL G36211397630) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-05-16 |