| NPI | 1568089217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002398) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 247200000X Technician, Other | |
| 106S00000X Behavior Technician (Licence: MI RBT-21-154717) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2026-07-27 |