| NPI | 1821852674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11991) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-08-21 |