| NPI | 1083384481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6852093887APP23) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2025-08-06 |