| NPI | 1619133766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090519) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-07-17 |