| NPI | 1649087222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003285) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |