| NPI | 1770166308 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 17444) | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 104100000X Social Worker (Licence: LA 17444) | |
| Enumeration Date | 2021-05-02 | 
| Last Update Date | 2023-09-14 |