| NPI | 1902525058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| 172A00000X Driver | |
| 174H00000X Health Educator | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |