| NPI | 1518573229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401003485) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2026-08-31 |