| NPI | 1437565215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000670) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223700) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-10-29 |