| NPI | 1013769454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM R44905) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-09-11 |