| NPI | 1689313462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ID RBT-22-203613) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ID RBT-22-203613) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2026-06-09 |