| NPI | 1619604048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174400000X Specialist | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-04-21 |