| NPI | 1336762772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 6352000758) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: MI 7401001581) | |
| 103T00000X Psychologist (Licence: MI 6352000758) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-05-05 |