| NPI | 1215491394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6401016567) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301016244) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-10-20 |