NPI | 1336580729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL APRN9328054) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-17473) |
Enumeration Date | 2013-07-13 |
Last Update Date | 2023-07-25 |