| NPI | 1629406426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004220A) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2023-12-18 |