| NPI | 1316632854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-88466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023197) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-03-19 |