| NPI | 1710580378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-09-12 |