| NPI | 1922470160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 101YM0800X) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-06-21 |