| NPI | 1801056718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-10-24 |