| NPI | 1306301007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MA CHW00389) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-09-25 |