| NPI | 1740719400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002235) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2025-09-18 |