| NPI | 1023582467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-57760) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 937) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-02-10 |