| NPI | 1639832181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9671945) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-04-05 |