| NPI | 1467157057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11025466) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-26-89797) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-05-12 |