| NPI | 1902496581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT17-45665) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2025-08-19 |