| NPI | 1922390087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-07-3878) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801089529) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |