| NPI | 1710403803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5817) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-01-17 |