| NPI | 1740058098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: PLC10037) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-03-19 |