| NPI | 1306512918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 777AK3383) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-10-24 |