| NPI | 1568075034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 197913) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-02-22 |