| NPI | 1629529847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105116) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-04-08 |