| NPI | 1578128245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002580) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN LBA0467) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2026-04-10 |