| NPI | 1477036085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN LBA0841) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: WI 1464-140) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-11-21 |