| NPI | 1346956679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-24-386186) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-08-25 |