| NPI | 1881360410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19966) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106S00000X Behavior Technician (Licence: TX RBT21181414) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2026-02-18 |