| NPI | 1760243034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-250160) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-05-22 |