| NPI | 1811310410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 762933) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 106H00000X Marriage & Family Therapist | |
| 132700000X Dietary Manager | |
| 174H00000X Health Educator | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-11-16 |