| NPI | 1366558223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000605) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009494) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-01-11 |