| NPI | 1982294633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 1-25-83182) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: MI 7401003317) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2026-06-11 |