| NPI | 1194389718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-22-245386) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2023-09-25 |