NPI | 1578099446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM101756-P) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-05-11 |
Last Update Date | 2018-10-12 |