| NPI | 1487311809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-186317) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-07-19 |