| NPI | 1538912803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB987776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9523506) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |