NPI | 1720579428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
251S00000X | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2021-11-08 |