| NPI | 1740659911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2021-12-04 |