| NPI | 1356970511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-20-115503) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-06-22 |