NPI | 1730710880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-19-107976) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2023-07-10 |