| NPI | 1679454821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-25-83965) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152.003058) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-12-09 |