| NPI | 1427631324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-06-22 |