| NPI | 1619590106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042677) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2025-10-13 |