| NPI | 1487180766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PT4655) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-11-27 |