NPI | 1114446705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801082528) |
Additional Taxonomies | 104100000X Social Worker |
106S00000X Behavior Technician | |
Enumeration Date | 2017-09-14 |
Last Update Date | 2025-05-12 |