| NPI | 1891387973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 450724) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-02-20 |