| NPI | 1649784307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-41034) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2021-11-18 |