| NPI | 1972374676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 251300000X Local Education Agency (LEA) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |