NPI | 1336626787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-25-82192) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
247200000X Technician, Other | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-07-27 |
Last Update Date | 2025-09-04 |