| NPI | 1467137794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95347998) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO BACB846366) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-11-06 |