| NPI | 1780187732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 209181) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-09-13 |