| NPI | 1396247243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362008893) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6352000605) |
| 103TS0200X Psychologist, School | |
| 106S00000X Behavior Technician (Licence: MI RBT-17-43316) | |
| 103K00000X Behavior Analyst (Licence: MI 1-20-41448) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-03-20 |