NPI | 1578077574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD 1154869105) |
Enumeration Date | 2017-11-29 |
Last Update Date | 2021-04-20 |