| 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 |