| NPI | 1033684626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-128066) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CBHCM101894-P) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-06-02 |