| NPI | 1245062298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |