| NPI | 1093256257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-21-47219) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-05-21 |