| NPI | 1073098182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-46175) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-18-65489) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2022-09-27 |