| NPI | 1396354841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 28985) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-10-04 |