| NPI | 1720675739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 68011088773) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2021-12-21 |