| NPI | 1588127856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9368598) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2025-09-05 |