| NPI | 1871135699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-21-47379) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2021-11-04 |