| NPI | 1053811240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001699) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2022-08-23 |