| NPI | 1548605546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001294) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015315) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-01-08 |