NPI | 1134664600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS100019) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
106S00000X Behavior Technician (Licence: FL RBT-20-148857) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-12-19 |
Last Update Date | 2025-09-08 |