| NPI | 1487477667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA Y6169270) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-04-15 |