| NPI | 1265823967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN91831) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2017-01-31 |