| NPI | 1821619933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11030228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030228) |
| 106E00000X Assistant Behavior Analyst | |
| 103K00000X Behavior Analyst (Licence: FL 1-24-78554) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-06-22 |