| NPI | 1922585322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-19-40232) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2022-04-18 |