| NPI | 1861982852 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 17-38808) | 
| Enumeration Date | 2018-05-15 | 
| Last Update Date | 2021-04-30 |