NPI | 1386285815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117683) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106S00000X Behavior Technician | |
Enumeration Date | 2019-10-07 |
Last Update Date | 2025-09-15 |