NPI | 1477114080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA LPN103887) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician | |
Enumeration Date | 2019-06-25 |
Last Update Date | 2025-06-02 |