NPI | 1801120100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092203) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-09-21 |
Last Update Date | 2021-03-15 |