| NPI | 1518427723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-51559) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-04-14 |