| NPI | 1215798038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041553198) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 163W00000X Registered Nurse (Licence: IN 28285538A) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041553198) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-03-28 |