| NPI | 1831739978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001314) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 106S00000X) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2021-02-18 |