| NPI | 1366192965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851121445) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-01-20 |