| NPI | 1700492956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P25012) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2026-06-11 |