| NPI | 1164027439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-24-77588) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-12-16 |