| NPI | 1356045769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD 10273594375) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD 10273594375) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-04-19 |