| NPI | 1447946678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: CA RBT-23-271433) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-09-10 |