| NPI | 1518174648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006307) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000422) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-05-01 |