| NPI | 1548623937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024280) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA E1097846) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-08-08 |