| NPI | 1235128349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 103852) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AK BEVB12) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-03-07 |