| NPI | 1104591833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA f4978596) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-08-16 |