| NPI | 1932665528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 172V00000X) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-01-05 |