| NPI | 1760906226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 30673) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |