| NPI | 1609426535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002521) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-12-20 |