| NPI | 1619480712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362007710) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301017265) | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2024-10-18 |