| NPI | 1811509888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-113415) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-09-06 |