| NPI | 1487218293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002039) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 17-42943) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2023-08-29 |