| NPI | 1174920417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS LBA00582) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2022046437) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-01-16 |