| NPI | 1679142442 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002979) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2021-06-24 | 
| Last Update Date | 2025-09-02 |