| NPI | 1659987139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS101199) |
| Additional Taxonomies | 104100000X Social Worker |
| 106E00000X Assistant Behavior Analyst (Licence: FL 02011156) | |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2022-04-22 |