| NPI | 1508425117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022775) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 363L00000X Nurse Practitioner (Licence: FL APRN11022775) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-09-04 |