| NPI | 1588151757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9531743) |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician (Licence: FL RBT-18-53789) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2026-04-08 |