| NPI | 1437615085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2022-04-28 |