| NPI | 1760850812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-56947) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2022-09-26 |