| NPI | 1912631037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-76420) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-22-222761) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-11-03 |