| NPI | 1073972774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 013300150) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 7401000275) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2024-11-01 |