| NPI | 1568960144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-46608) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2021-03-17 |