| NPI | 1356933949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017500) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-154586) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-11-26 |