| NPI | 1003455916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR IN10211971) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2022-12-30 |