| NPI | 1770925406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100803) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-11-03 |