| NPI | 1861024846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019218) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-06-19 |