| NPI | 1821563271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-45024) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0-19-9749) |
| 106S00000X Behavior Technician (Licence: IL RBT-16-11731) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2020-10-05 |