| NPI | 1689034191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT211389) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2025-01-21 |