| NPI | 1518297126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR C2757) |
| 103K00000X Behavior Analyst (Licence: CA 49378) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2012-09-17 |