| NPI | 1992360168 |
|---|---|
| Former Name | MICHELLE MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-18-33805) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-08-12 |