| NPI | 1063935419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001623) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2021-11-08 |