| NPI | 1629686167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-66453) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225800000X Recreation Therapist (Licence: IN 82502) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-10-12 |