| NPI | 1831750082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-89585) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-03-05 |