| NPI | 1306337555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-53495) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-06-28 |