| NPI | 1215538442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-20-142816) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-06-11 |