| NPI | 1124521000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 264759) |
| 103K00000X Behavior Analyst (Licence: OH COBA.00683) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-11-24 |