| NPI | 1831569649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NC MHL-078-290) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC MHL-078-290) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |