| NPI | 1972172526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-22-60792) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-01-03 |