| NPI | 1831873272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032211) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-11-07 |