| NPI | 1134893290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-155624) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-06-14 |