| NPI | 1568997047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-31924) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-30693) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2018-09-26 |