| NPI | 1285039149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20274) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2025-02-12 |