| NPI | 1134704224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA RBT-19-100521) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-05-10 |