| NPI | 1215314935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011683) |
| 247200000X | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-05-25 |