| NPI | 1194497719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 171W00000X Contractor | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-07-06 |