| NPI | 1083938492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223565) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC0005477) |
| 103K00000X Behavior Analyst (Licence: GA LPC0005477) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2023-08-03 |