| NPI | 1922748870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OK 319547) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-09-03 |