| NPI | 1770125882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-101169) |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-01-23 |