| NPI | 1477273522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 0105292) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-233289) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-12-21 |