| NPI | 1023267119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL RBT-23-290631) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2023-08-17 |