| NPI | 1992943757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MI 6801085231) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2019-11-08 |