| NPI | 1902346901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 15416) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2020-03-20 |