NPI | 1205287851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11034817) |
Additional Taxonomies | 106S00000X Behavior Technician |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN11034817) | |
Enumeration Date | 2016-06-24 |
Last Update Date | 2025-07-22 |