| NPI | 1952842817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95205618) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2024-01-02 |