| NPI | 1295134138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 12366059) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401002107) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2024-04-16 |