| NPI | 1629858477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-24-323479) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-01-31 |