| NPI | 1427727239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL C-632-000-87-924-0) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2026-04-06 |