| NPI | 1649937376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 106S00000X Behavior Technician (Licence: 21-194084) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-04-30 |