| NPI | 1588162267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 371201) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-11-27 |