| NPI | 1194058735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007205) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-08-19 |