| NPI | 1336567122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 6301007489) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301007489) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |