| NPI | 1619470697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95352013) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-10-23 |