| NPI | 1720680937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WY RBT-21-168045) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-10-06 |