| NPI | 1689180093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OR 10181149) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2022-07-15 |