| NPI | 1235639600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00004630) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2021-08-20 |