| NPI | 1457804668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 678570) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023790) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2026-02-23 |