| NPI | 1619497351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-190) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-17-26160) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-11-11 |