| NPI | 1538929476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0102687) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-24-388320) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-11-21 |