| NPI | 1609320811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002527) |
| Additional Taxonomies | 247200000X Technician, Other |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2024-11-22 |