| NPI | 1659964112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9492707) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2023-07-22 |