| NPI | 1497308514 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-19-92733)  | 
| Enumeration Date | 2019-07-17 | 
| Last Update Date | 2025-01-28 |