| NPI | 1265826622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-21-47130) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401001361) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-08-17 |