| NPI | 1912446386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL B652926280) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2018-12-04 |