| NPI | 1144949785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker (Licence: TX 12645) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-08-28 |