| NPI | 1164954111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000649) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361007755) |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-02-06 |