| NPI | 1376033811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: MI 6851109900) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-06-11 |