| NPI | 1710343009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-21-47473) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401001374) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2021-05-07 |