| NPI | 1093251696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI BACB406572) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2020-03-12 |