NPI | 1982028098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-19-36269) |
Additional Taxonomies | 103K00000X Behavior Analyst |
101Y00000X Counselor | |
Enumeration Date | 2014-02-10 |
Last Update Date | 2025-05-19 |