| NPI | 1689147795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119835) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-03-17 |