NPI | 1851925499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9414841) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-9364) |
Enumeration Date | 2020-02-22 |
Last Update Date | 2020-02-22 |