| NPI | 1205327509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI 16-24847) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 16-24847) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-03-08 |