| NPI | 1558808212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN65374) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV RN65374) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-04-20 |