| NPI | 1972060895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851115039) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MI 6802090535) | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-02-24 |