| NPI | 1538722848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-24-74382) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-07-23 |