| NPI | 1669605010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6301014875) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301014875) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2020-10-21 |