| NPI | 1033998950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA33896) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT23300517) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2025-03-01 |