| NPI | 1871032805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-44190) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2021-06-22 |