NPI | 1144954314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116672) |
Additional Taxonomies | 106S00000X Behavior Technician |
247200000X Technician, Other | |
Enumeration Date | 2022-07-13 |
Last Update Date | 2023-10-31 |