| NPI | 1912408022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-39492) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2021-10-06 |