| NPI | 1669977559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-05841) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2025-06-10 |