| NPI | 1962823815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OK 1962823815) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2022-06-22 |