| NPI | 1619061231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802068925) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-03-05 |