| NPI | 1487317368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN722009) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-07-01 |