| NPI | 1619414133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000178) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2022-10-21 |