| NPI | 1255865564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-19-35898) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-15-06441) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-06-23 |