| NPI | 1174275119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001956) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-21-57197) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2025-08-26 |