| NPI | 1639436421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091233) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2018-09-13 |