| NPI | 1801240270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113349) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-06-12 |