| NPI | 1699363101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000506) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090284) |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-01-10 |