| NPI | 1073081253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11045745) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2026-03-03 |