NPI | 1679258479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA Y4455388) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-06-19 |
Last Update Date | 2024-03-08 |