| NPI | 1124642566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHM.0105465-P) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-04-13 |