| NPI | 1780173062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-50953) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-53946) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-06-14 |