| NPI | 1649730243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-10-27 |