| NPI | 1164752911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005925) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-04-1827) |
| 103K00000X Behavior Analyst (Licence: MI 7401000577) | |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2023-10-13 |