| NPI | 1699267583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-64437) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 17-39043) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-03-20 |