| NPI | 1871047167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 1984659) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-84659) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2021-09-27 |