| NPI | 1386316032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11036746) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-136076) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2026-03-13 |