| NPI | 1083282032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT37257) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-11-17 |