| NPI | 1326653007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL RBT-20-134185) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2021-11-16 |