| NPI | 1184267106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC9773) |
| 103K00000X Behavior Analyst (Licence: LA 011300736) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-10-09 |