| NPI | 1770025405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-19-38523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2023-11-27 |