| NPI | 1548537566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015312) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-14-15547) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2024-03-12 |