| NPI | 1710276126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1107804) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014533) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2012-09-07 |