| NPI | 1598217309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002515) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-86812) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2026-05-14 |