NPI | 1841840444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: UT 13543269-6009) |
Additional Taxonomies | 106S00000X Behavior Technician |
172V00000X Community Health Worker | |
Enumeration Date | 2019-09-16 |
Last Update Date | 2024-02-01 |