| NPI | 1144845181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM104534) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2022-06-15 |