| NPI | 1578179602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ 324944) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2026-01-21 |