NPI | 1073070488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019514) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-22 |
Last Update Date | 2021-07-13 |