| NPI | 1033870233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 754032) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2026-09-23 |