| NPI | 1073966511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1345) |
| Additional Taxonomies | 251B00000X Case Management |
| 171M00000X Case Manager/Care Coordinator (Licence: MD 8909) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-08-05 |