| NPI | 1588234678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-174064) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-09-21 |