| NPI | 1770267460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 535630) |
| 106S00000X Behavior Technician (Licence: NC 23-296449) | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-07-01 |