| NPI | 1982112819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 00004535) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-01-29 |