| NPI | 1992184295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-15-19424) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180012986) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2022-11-29 |