| NPI | 1841719432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018241) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-09-07 |