| NPI | 1013491018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 728611) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-09-27 |