| NPI | 1225519309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9245553) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10982) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-03-16 |