| NPI | 1811533573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN LBA0482) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 508-140) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-04-16 |