| NPI | 1972192854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OK 318980) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-151646) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-04-10 |