| NPI | 1972072171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-21-54172) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2025-07-17 |