| NPI | 1912574336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-74354) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-21-170148) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-08-06 |