| NPI | 1376994699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-17-25766) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 0-16-7396) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-09-08 |