| NPI | 1376996579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KS K02-86-2048) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-03-06 |