| NPI | 1194368100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 270754) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-12-17 |