| NPI | 1225543010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017324) |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2018-09-18 |