| NPI | 1164989372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1603) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401002028) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2025-05-29 |