| NPI | 1609225275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MI 0-16-7335) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801099118) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-08-01 |