| NPI | 1205319407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F26-147434) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2026-03-18 |