| NPI | 1336416924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401-012791) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2024-07-24 |