| NPI | 1902359276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000514) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-08-05 |