| NPI | 1871257444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95417590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2389645) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-12-19 |