NPI | 1417367129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
103K00000X Behavior Analyst | |
Enumeration Date | 2014-05-02 |
Last Update Date | 2021-11-15 |