NPI | 1578234043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
225400000X Rehabilitation Practitioner | |
106S00000X Behavior Technician | |
Enumeration Date | 2021-09-24 |
Last Update Date | 2023-07-13 |