| NPI | 1699263392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68188) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9480904) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-10-16 |