| NPI | 1164108072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician (Licence: OK RBT-23-280440) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-01-17 |