| NPI | 1881098523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851108026) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2023-06-23 |