| NPI | 1730978107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-25-446698) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: UT 0) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-07-09 |