| NPI | 1659891422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114779) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801114779) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-07-29 |