| NPI | 1194399550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001884) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 430140) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-03-06 |