| NPI | 1205585627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95287529) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-04-19 |