| NPI | 1982255618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MI 6851115163) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-06-28 |