| NPI | 1023491933 |
|---|---|
| Former Name | MICHELLE DIANE BRENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-15-18955) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 11) |
| 103K00000X Behavior Analyst (Licence: UT 13481534-2506) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-07-24 |