| NPI | 1164279568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY TP2024053) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-12-30 |