| NPI | 1043705627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 25583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95300445) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-10-14 |