| NPI | 1336406784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081451) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-11-29 |