| NPI | 1407535396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: DC 1407535396) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-01-23 |