| NPI | 1790249654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-72712) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: IL RBT-19-77310) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2024-05-01 |