| NPI | 1801333273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95182852) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2021-11-11 |