| NPI | 1518729375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106S00000X Behavior Technician | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |