| NPI | 1285220715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-148744) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-08-14 |