| NPI | 1740718337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA10000521) |
| 174400000X Specialist | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-12-15 |