| NPI | 1700486719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR IN-10210983) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2023-07-12 |