| NPI | 1174200422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-07-19 |