| NPI | 1811616618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-22-60471) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-22-60471) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-11-30 |