| NPI | 1386045136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 11934873) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016357) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2022-10-21 |