| NPI | 1205315884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 727988) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2023-05-04 |