| NPI | 1538534987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst (Licence: CA 15-06327) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-08-10 |