| NPI | 1366893869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-57898) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MI S326585744610) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2022-02-15 |