| NPI | 1427414648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013052) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2018-06-20 |