| NPI | 1972923415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000982) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361007965) |
| 103K00000X Behavior Analyst (Licence: 1-14-15741) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-12-27 |