| NPI | 1013439587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6362009631) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2024-01-09 |