| NPI | 1104475714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-01-03 |