| NPI | 1649744152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-23-65938) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-01-01 |