| NPI | 1154759710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 11624437) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2017-01-13 |