| NPI | 1265386205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034874) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-07-16 |