| NPI | 1922587765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 246Z00000X Specialist/Technologist, Other | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-01-17 |