| 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 |