| NPI | 1073084232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6803087135) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-03-20 |