| NPI | 1114704939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 841619) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 841619) |
| 103K00000X Behavior Analyst (Licence: CA 841619) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |