| NPI | 1336479005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801016192) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 6801016192) |
| 283Q00000X Psychiatric Hospital (Licence: MI 6801016192) | |
| 251S00000X (Licence: MI 6801016192) | |
| Enumeration Date | 2010-01-01 |
| Last Update Date | 2010-10-16 |