| NPI | 1326873738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-351017) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-30 |