| NPI | 1982933925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301009563) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 6301009563) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2022-09-02 |