| NPI | 1427515899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA 66626) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-06-19 |