| NPI | 1487231064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023155) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician | |
| 225C00000X Rehabilitation Counselor (Licence: 719806) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2026-01-23 |