| NPI | 1033636220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001736) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-49559) |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |