NPI | 1588161830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023247) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-08-28 |