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 |