| NPI | 1508307968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 16088) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2020-08-20 |