| NPI | 1003564337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9666487) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2025-09-01 |