NPI | 1366232563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-25-456148) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: UT 0) |
Enumeration Date | 2025-05-09 |
Last Update Date | 2025-08-29 |