| NPI | 1609354745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-51615) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-61924) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-02-17 |