| NPI | 1588808059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013383) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-09-30 |