| NPI | 1184401754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851122412) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2026-07-10 |