| NPI | 1972106326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA Y8708786) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA Y8708786) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-23 |