| NPI | 1699014746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2315) |
| 363A00000X Physician Assistant (Licence: GA 7034) | |
| Enumeration Date | 2013-02-10 |
| Last Update Date | 2017-01-17 |