| NPI | 1750031464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F26-150666) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-04-14 |