| NPI | 1578082152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000855) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22794) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-12-12 |