| NPI | 1639687072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-54129) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-12-20 |