NPI | 1568971794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1192) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-38889) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2023-01-12 |