| NPI | 1528570942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9661234) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-08-25 |