| NPI | 1578326278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-25-409798) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-05-05 |