| NPI | 1740636851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-44887) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-20-44887) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-09-27 |