| NPI | 1770097107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-22-62263) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-11-02 |