| NPI | 1760933097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-21-50544) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-06-18 |