| NPI | 1609310713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 6301014353) |
| 103K00000X Behavior Analyst (Licence: MI 1-17-25333) | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2021-05-05 |