| NPI | 1689332181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN LBA0901) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 1474140) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-12-30 |