| NPI | 1205060191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704261913) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703081901) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2024-04-02 |