| NPI | 1023737665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-21-185079) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-12-04 |