NPI | 1659831220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: CA RBT-20-132226) | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-05-01 |