| NPI | 1801400239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9705115) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-03-02 |