| NPI | 1275137788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401003403) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2026-07-07 |