| NPI | 1124786926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: CA 22-199885) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-03-13 |