| NPI | 1902402621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-146954) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-02-20 |