| NPI | 1720767148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 171M00000X) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 106S00000X) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |