| NPI | 1629614169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001084) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-05-23 |