| NPI | 1386362291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-22-229530) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-02-20 |