| NPI | 1881134120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 686067) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 686067) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-11-08 |