| NPI | 1568103992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI D524758564517) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-18 |