| NPI | 1245657295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-15-21286) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095830) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-04-26 |