| NPI | 1437502036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA p1 60038142) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-05-18 |