| NPI | 1437792686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 106s00000x) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-04-05 |