| NPI | 1447904495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-126105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9645310) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2026-09-14 |