| NPI | 1023201035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6803085593) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-09-02 |