| NPI | 1992185425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2342) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-12-01 |