| NPI | 1669992632 |
|---|---|
| Former Name | STEPHANIE RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-12-19 |