| NPI | 1134739279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-24-71109) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MN RBT-20-146620) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-02-20 |