| NPI | 1407498082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 376K00000X Nurse's Aide (Licence: TX NA0008620191) | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-12-01 |