| NPI | 1962052134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-24-77966) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-08-13 |