| NPI | 1891363859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53077) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152.002792) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-12-03 |