| NPI | 1326425257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001174141) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-08-18 |