| NPI | 1003491085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-107052) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2026-02-25 |