| NPI | 1508219502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB326140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9165923) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |