| NPI | 1780187732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 209181) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 209181) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-09-19 |