| NPI | 1508453325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009612) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-04-17 |