| NPI | 1568136281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 1744R1102X Specialist, Research Study | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |