| NPI | 1679412027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-27 |