| NPI | 1629568373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1373972) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2025-05-27 |