NPI | 1679162713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA BHS-MH) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-01-13 |
Last Update Date | 2021-08-03 |