| NPI | 1457831208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 41108) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-10-27 |