| NPI | 1235642786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR 106s00000x) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-01-03 |