| NPI | 1932498565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-9499) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014499) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2018-08-13 |