| NPI | 1760500276 |
|---|---|
| Former Name | MICHELLE ANGELA DYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 003272-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-11-8757) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-03-01 |