| NPI | 1154952984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12151406) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: MI 7401001832) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-07-09 |