| NPI | 1770331068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-116288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F04240735) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-06-04 |