| NPI | 1295393494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-06-20 |