NPI | 1326523556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CO BCaBA-0-24-15047) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F03240844) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2024-06-14 |