| NPI | 1245775816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6851105642) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2025-04-02 |