| NPI | 1811670623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-12-28 |