| NPI | 1588139174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 0-25-16765) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-12-26 |