| NPI | 1013641521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NM 171M00000X) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-20 |