| NPI | 1164279568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN CP042280T) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2026-05-15 |