| NPI | 1619383445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801064432) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2019-06-17 |