NPI | 1427598408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0104346) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-02-24 |
Last Update Date | 2023-05-30 |