NPI | 1699368340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39061) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-02-13 |
Last Update Date | 2022-10-28 |