| NPI | 1225464068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016023) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 6301015607) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2019-12-19 |