| NPI | 1407628936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0106185) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL CBHT.0100619) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2025-09-05 |