| NPI | 1902358054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001569) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MI RBT-16-16480) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2021-09-30 |