| NPI | 1144753476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-47509) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-02-05 |