| NPI | 1043755580 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-21-47656) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-12-19 | 
| Last Update Date | 2025-05-27 |