| NPI | 1912530254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-112715) |
| 172A00000X Driver | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2021-05-04 |