| NPI | 1174159537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001267) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 352-140) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-07-07 |