| NPI | 1184199085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14463) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2023-07-21 |