| NPI | 1154170546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA BACB11311161) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-07 |