| NPI | 1922849058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0102777) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2026-03-31 |