| NPI | 1790447399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-25-79944) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-03-18 |