| NPI | 1972120673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002094) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-08-15 |