| NPI | 1568918795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001565) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: 1-21-52016) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2026-04-08 |