| NPI | 1922474485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-17-27533) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000233) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2021-07-14 |