| NPI | 1912402835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL 18-51940) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 18-51940) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-03-25 |