NPI | 1821576315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46072) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100573) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2025-09-17 |