| NPI | 1003442682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305416) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-20-114984) |
| 225100000X Physical Therapist (Licence: WA PT61478078) | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2024-01-08 |