| 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 |