NPI | 1922311984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 273867) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2010-07-20 |
Last Update Date | 2021-11-05 |