| NPI | 1235814989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-01-04 |