| NPI | 1356717052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224381) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI RBT-15-01459) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2026-06-03 |