| NPI | 1932646619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023438) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2025-10-27 |