| NPI | 1417325226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-45799) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401001287) |
| 247200000X Technician, Other (Licence: MI T514066564881) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2020-12-29 |