| NPI | 1912018037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000601) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005018) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-11-21 |