| NPI | 1144863408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64164) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2025-05-29 |