| NPI | 1902255284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI SP0000001061481) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI BACB354690) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2025-01-14 |