| NPI | 1336555812 | 
|---|---|
| Former Name | RHONDA LOUISE RAVENELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015937)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2014-07-07 | 
| Last Update Date | 2018-04-09 |