| NPI | 1518468222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 53654) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-08-28 |