| NPI | 1902395312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022401) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2026-09-10 |