| NPI | 1114404043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 52114) |
| 225200000X Physical Therapy Assistant (Licence: FL 31041) | |
| 225200000X Physical Therapy Assistant (Licence: NH 1453) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-09-21 |