| NPI | 1780249383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95037467) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2025-10-30 |