| NPI | 1538640644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002216) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2022-113) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-07-01 |