| NPI | 1740653773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093157) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-11-21 |