| NPI | 1780185785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2020-11-03 |