| NPI | 1578036703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-77081) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-18-5361-124737) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2024-11-15 |