| NPI | 1396268983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: LA 010942639) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-12-12 |