| NPI | 1003564337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11042925) |
| 163W00000X Registered Nurse (Licence: FL RN9666487) | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2025-10-14 |