| NPI | 1609442417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-114191) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-12-05 |