| NPI | 1427610930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP044323T) |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist (Licence: OR 64786) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2025-09-03 |