| NPI | 1548548316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-16-24688) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2019-02-20 |