| NPI | 1528427135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-15-20888) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301011058) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |