| NPI | 1447703921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 245032) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-01-16 |