| NPI | 1760082960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA Y4062024) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-11-22 |