| NPI | 1841736741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851119806) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2025-05-14 |