| NPI | 1104363399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12147622) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2024-06-20 |