| NPI | 1194243493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001365) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374700000X Technician | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-04-19 |