| NPI | 1316299654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 171W00000X Contractor | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2020-07-14 |