| NPI | 1821451014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-01-08 |