| NPI | 1154927804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F25-120953) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2025-10-03 |