| NPI | 1619434131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451024161) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2026-01-06 |