| NPI | 1104554328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021023) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCBA1-25-81821) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-10-04 |