NPI | 1205463619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
175T00000X Peer Specialist | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2021-02-08 |