| NPI | 1285523316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM G-2061) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2026-06-29 |