| NPI | 1598586331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA rbt-20-113724) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-08-28 |