| NPI | 1992348346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-102329) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-09-29 |