| NPI | 1952766586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-16-24664) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2022-04-12 |