| NPI | 1053015503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-23-69831) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-12-07 |