| NPI | 1568101871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 0-26-16939) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2026-03-18 |