| 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 |