| NPI | 1265749279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 11520671) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094294) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2019-07-03 |