| NPI | 1790134112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: MI 1-21-48694) | |
| 106S00000X Behavior Technician | |
| 225400000X Rehabilitation Practitioner | |
| 247200000X | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-05-11 |