NPI | 1134676307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 171M00000X) |
Additional Taxonomies | 101Y00000X Counselor |
103K00000X Behavior Analyst | |
Enumeration Date | 2016-09-06 |
Last Update Date | 2025-07-21 |