| NPI | 1679149017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-22-60704) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 643) |
| 103K00000X Behavior Analyst (Licence: MI 7401003324) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2026-10-16 |