| NPI | 1306619408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-24-388770) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-09-12 |