| NPI | 1609477918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303340) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2022-12-12 |