| NPI | 1417725334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-316404) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 21-745) |
| 363A00000X Physician Assistant (Licence: PR 2836) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PR 2836) | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-12-16 |