| NPI | 1336472760 |
|---|---|
| Former Name | MALIA NOEL VASSILAKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-24422) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011130) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-06-30 |