| NPI | 1336580729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL APRN9328054) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-17473) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2025-09-13 |