| NPI | 1538721022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-19-38331) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2950-MH-B1) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-10-24 |