| NPI | 1770050775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI P650461564899)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2018-10-28 | 
| Last Update Date | 2023-11-14 |