| NPI | 1700243987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 215792326) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-09-04 |