NPI | 1619377413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 172V00000X Community Health Worker |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2014-08-28 |
Last Update Date | 2024-05-16 |