| NPI | 1023510187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1023510187) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2025-09-12 |