| NPI | 1780252361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L113) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-179843) |
| 103K00000X Behavior Analyst (Licence: MN LBA0851) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-11-10 |