| NPI | 1396412227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-10-07 |