NPI | 1053704809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097763) |
Enumeration Date | 2015-03-17 |
Last Update Date | 2020-06-04 |