| NPI | 1356812572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-18-72625) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-11-06 |