| NPI | 1073089041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 02213503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTA25318) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-04-21 |