| NPI | 1912489170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-07-12 |