| 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 |