| NPI | 1225490303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-16-21693) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000003) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2026-01-17 |