NPI | 1669900122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802089529) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-05-30 |
Last Update Date | 2023-06-12 |