| NPI | 1669900940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-17-26848) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002227) |
| 103K00000X Behavior Analyst (Licence: MI 7401001207) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-10-14 |