| NPI | 1518690270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 22-219892) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-12-01 |