| NPI | 1801377031 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001799) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2018-08-26 | 
| Last Update Date | 2022-09-08 |