| NPI | 1275028698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-390533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9357333) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-11-26 |