| NPI | 1750445391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9224997) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F06220442) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-07-18 |