| NPI | 1134664600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS100019) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-148857) |
| 171M00000X Case Manager/Care Coordinator | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-10-05 |