| 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 |