| NPI | 1467064287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 712797) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |