| NPI | 1639678071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-48097) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-43732) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2021-07-06 |