| NPI | 1174907281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202214795NP-PP) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-09-21 |