| NPI | 1134755762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 21032) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2025-03-25 |