| NPI | 1508614561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 736593) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-02-03 |