| NPI | 1376922609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MI 1-15-18012) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2018-02-08 |