| NPI | 1154732782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-17-26027) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000659) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-05-27 |