| NPI | 1750733168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-39392) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401001019) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2021-08-10 |