| NPI | 1306449673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0015439) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-11-02 |