| NPI | 1104148261 |
|---|---|
| Former Name | SYLVIA IVONNE MAACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-13-12984) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 1-13-12984) |
| 103TC0700X Psychologist, Clinical (Licence: KS 0213) | |
| 103TS0200X Psychologist, School (Licence: KS 6911447291) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2019-07-02 |