| NPI | 1043797582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3567-MH-B1) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2021-06-14 |