| NPI | 1124583919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-23-63563) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-02-02 |