NPI | 1457850380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011749) |
Additional Taxonomies | 106S00000X Behavior Technician |
247200000X Technician, Other | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2023-07-09 |