| NPI | 1073231627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 11939817) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-03-05 |