| NPI | 1336695352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MI 6851102940) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-02-06 |