NPI | 1376999284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50583) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT 1505170) |
172V00000X Community Health Worker | |
Enumeration Date | 2016-05-10 |
Last Update Date | 2021-11-18 |