| NPI | 1972172948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA Y3660576) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA Y3660576) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-09-01 |