| NPI | 1689052508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL P-430-103-74-842-0) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-07-20 |