| NPI | 1659782639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56739) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-08-13 |