| NPI | 1932663044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| 174400000X Specialist | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2022-08-24 |