| NPI | 1366740292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011927) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2023-11-28 |