| NPI | 1457942393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851120112) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-05-21 |