| NPI | 1902438674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: CA 46-1305562) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-07-01 |