| 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 |