| NPI | 1083041289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401003433) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801086465) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2026-08-01 |