| NPI | 1558643866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 89517) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2020-07-31 |