| NPI | 1447024807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0102660) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL CBHCMS.0102660) |
| 106S00000X Behavior Technician (Licence: FL RBT-23-309442) | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-07-15 |