| NPI | 1487536611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002983) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-26 |