NPI | 1710578513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 172V00000X Community Health Worker |
106S00000X Behavior Technician | |
Enumeration Date | 2021-02-03 |
Last Update Date | 2023-03-06 |