| NPI | 1568953081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-18-32395) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 17-38916) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-11-16 |