| NPI | 1821832403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-24-391600) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2026-03-12 |