| NPI | 1700511862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA BACB705008) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-06-30 |