| NPI | 1588192165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MS 189601) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MS 189601) |
| 225800000X Recreation Therapist (Licence: MS 189601) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: MS 189601) | |
| 405300000X Prevention Professional (Licence: MS 189601) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2019-06-11 |