| NPI | 1972954576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 0180865658) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator (Licence: VA 0181969996) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-12-17 |