| NPI | 1639702079 |
|---|---|
| Other Name | ABBIE DYKSTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118926) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851114402) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-08-15 |