| NPI | 1447826854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-01-03 |