| NPI | 1235891508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-24-71918) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 247200000X Technician, Other | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-03-15 |