| NPI | 1043801327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 103K00000X) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-04-09 |