| NPI | 1710626288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 0011466101) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-02-02 |