| NPI | 1861049082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 820799715) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-02-08 |