| NPI | 1285091462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 247200000X) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-10-23 |