| NPI | 1356745467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018092) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016327) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-02-12 |