| NPI | 1417455841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-11-19 |