| NPI | 1891313516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMP101944) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-07-01 |