| NPI | 1932807732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM S3-154) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-11-27 |