| NPI | 1124553466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 17-CRM-069) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-10-09 |