| NPI | 1265786149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-21868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094246) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2016-08-08 |