NPI | 1225519309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-81785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9245553) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2025-08-06 |