| NPI | 1942628607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-11-9386) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014812) |
| 103K00000X Behavior Analyst (Licence: 1-11-9386) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-07-28 |