| NPI | 1669823324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-18-32219) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-09-30 |