| NPI | 1255624409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 800726678) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2024-02-20 |